Ana-Alicia Marquez Fahl
Individual provider Active NPI Primary Care Nurse Practitioner · Gridley, CA
NPI 1295345320 · NPPES record last updated Aug 4, 2020
Key facts
- NPI
- 1295345320
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Primary Care Nurse Practitioner 363LP2300X
- License
- 95015069 (CA)
- Practice address
- 225 Spruce St
Gridley, CA 95948-2215 - Phone
- (530) 846-5655
- NPI assigned
- Aug 4, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.23 of 100
- Quality
- 36.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.06
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200914002702 | CA | Practitioner - Nurse Practitioner | 7012335615 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orohealth Corporation a Non Profit Healthcare System | Current |
Accepting new patients |
Locations
2809 Olive Hwy
Ste 250
Oroville, CA 95966
Phone (530) 532-7650
2721 Olive Hwy
Ste 10
Oroville, CA 95966
Phone (530) 533-1554
2767 Olive Hwy
Oroville, CA 95966
Phone (916) 533-8500
2721 Olive Hwy
Ste 12A
Oroville, CA 95966
Phone (530) 532-8687
2721 Olive Hwy
Ste 12B
Oroville, CA 95966
Phone (530) 532-8584
2971 Olive Hwy
Oroville, CA 95966
Phone (530) 534-6300
2767 Olive Hwy
#260
Oroville, CA 95966
Phone (530) 532-8544
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 95015069 | CA | Yes |
Addresses
Primary practice location
225 Spruce St
Gridley, CA 95948-2215
Mailing address
PO Box 846
Biggs, CA 95917-0846
Other providers in Gridley, CA
- Carlene Jenae Dyer
- Cordelia Egure
- Evergreen at Gridley SNF, L.L.C.
- Evizzit of California Psychiatry PC
- Excel-a-Care Emergency Physicians, a Medical Corporation
- Sarah Fairbanks
- Mary Katheen Falconer
- Barry L Fallesen
- Feather River Inpatient Services
- Stacy L Frazer
All providers in Gridley, CA · Primary Care Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.